critical“The provider had failed to fully assess, monitor and mitigate risks relating to the health, safety and welfare of people using the service.”
safeguarding
1 finding
critical“An incidence of abuse had been reported to the local safeguarding authority, but not notified to CQC in line with regulatory requirements.”
care planning
1 finding
moderate“There was no specific information for staff about diabetes, how this affected the person, and actions staff should take in the event they had low (or high) blood sugar levels.”
record keeping
1 finding
moderate“their assessment was unclear as to whether the risk was high, medium or low, as there was no explanation of how the final score had been calculated.”
missed or late visits
1 finding
minor“Some of the carers don't have a car and they come at different times. I have to ring to find out where they are. They apologise in the office and say it won't happen again, but it does.”
medication management
1 finding
moderate“it stated that topical cream should be administered 'all over the body'. There was no body map to guide staff on where exactly the cream should be applied.”